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Why trust this guide?
Our editorial team analyzed 301 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 301 on this page. See how we rank facilities
Nursing home care, assisted living, and skilled nursing are the three levels on one campus at Fountainbleau Lodge in Cape Girardeau, MO. Skilled nursing covers licensed nursing care in the building. Assisted living covers the daily tasks while the resident keeps an apartment or a room, so what is paid for is the door as much as the help. Both suit someone whose needs increase and who can move between them without leaving.
Eighty-nine beds are on the books. Rehabilitation services are there when therapy belongs in a resident’s care. A courtyard gives outdoor space, and a salon covers grooming on site.
Some errands here go on foot. A Walk Score of 66 is somewhat walkable, which is the difference between an outing that needs planning and one that does not. Activities and transportation are both on the amenity list.
Medicare, Medicaid, and private pay are accepted. Regina King is the administrator, and Fountainbleau of Cape Girardeau runs the operation. A day of nursing split to one resident leaves 5 hours and 27 minutes. The fit is someone needing assisted living support or skilled nursing while staying where more than one level exists.
Medicalodges Neosho in Neosho, Missouri, delivers a full spectrum of living and care options, including independent home care, adult day programs, assisted living, memory care, and nursing home care. On-site clinical programs feature skilled nursing, palliative care, hospice, short-term rehabilitation, and secured memory care. Residents have access to handicap-accessible transportation for off-site appointments, customized dining plans, weekly religious services, and a barbershop and salon.
Community operations are managed by administrator Elizabeth Isenberger and operator Medicalodges across the 114-bed property. Daily nurse staffing averages 3 hours and 50 minutes per resident. The center holds a 55 walk score, placing it in a somewhat walkable neighborhood where select errands can be handled nearby on foot. Payment arrangements include private funds and Medicare for covered short-term stays.
Families looking for long-term care or daily support can contact Medicalodges Neosho directly to schedule a walk-through, ask about available rooms, or learn more about specific care programs.
New Madrid Living Center provides nursing home, hospice care, and skilled nursing in New Madrid, Missouri. Skilled nursing gives residents access to ongoing nursing care, while hospice supports people who need end of life services. Medical care is available around the clock, with a doctor on staff, so residents can receive attention within the community.
The center has 112 beds and provides long term care under physician supervision, with attention to residents’ physical, mental, and psychosocial well being. Total nurse staffing is 4 hours and 40 minutes per resident each day, representing the hands on nursing time assigned to each resident. The range of nursing and hospice services may make the community a good fit for someone who needs ongoing nursing care or end of life support.
Rehabilitation services are available on site, allowing therapy to be included in a resident’s care there. Handicapped accessible vans provide resident transportation, and the dining service allows residents to choose meals according to their individual preferences. Medicare, Medicaid, and private pay are accepted. Tom Ayers serves as administrator, and N & R Of New Madrid operates the community.
California Care Center in California, Missouri, delivers skilled nursing services within a 60-bed layout. Accommodations feature both single-occupancy private rooms and shared semi-private layouts. Clinical support includes specialized IV therapy alongside on-site physician oversight and structured rehabilitation programs.
Under the direction of operator N & R of California and administrator Debra Dunham, the location averages 3 hours and 30 minutes of direct nurse staffing per resident daily. Amenities include an active salon and regular religious services, while wheelchair-accessible vans handle resident transport needs off campus. Funding options accept Medicare for qualified short-term rehab, Medicaid, and direct private pay.
Families looking for skilled care in Moniteau County can connect with California Care Center to explore room arrangements, confirm financial guidelines, or set up a campus visit.
Experience exceptional care at The Manor at Elfindale, a dedicated community in Springfield, MO, offering memory care, rehabilitation, and skilled nursing. Those with cognitive conditions and complex healthcare needs are guaranteed the highest quality of care with a compassionate and highly trained team available around the clock. Specially designed and secured units are also provided in a nurturing and welcoming environment, so residents can feel at ease during their stay.
Stimulating activities and enriching programs are conducted to keep residents active and socially connected. Delicious and well-balanced meals are available, ensuring residents have the nutrients they need to remain healthy. The community has received several recognitions throughout the years, proving its top-notch quality.
Nhc Healthcare, Maryland Heights offers nursing home, home care, hospice care, and skilled nursing in Maryland Heights, Missouri. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Home care supports care delivered in a person’s residence, while hospice care addresses end of life needs.
Rehabilitation Services and short term rehabilitation support a temporary stay focused on recovery after illness or injury. Respite care provides a short stay when a usual caregiver needs to travel or recover. This range of nursing, rehabilitation, respite, and hospice services may suit someone who needs nursing support during recovery, a temporary caregiver break, or end of life care.
The home has 220 beds, placing it in the larger community range, with more residents and staff and usually more programming. Total nurse staffing is 4 hours 4 minutes per resident each day, representing the nursing time allocated to each resident across a day. Medicare, Medicaid, and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when personal savings do not cover a long stay, and private pay uses personal funds. Susan Taylor serves as the administrator.
An on site beauty and barber shop gives residents access to grooming services without leaving for that appointment. Dietitian and chef approved meals are tailored to nutritional needs and served in the dining room. Residents also have a designated outdoor area for relaxation and time outside.
Overview of Garden View Care Center at Dougherty Ferry
Garden View Care Center at Dougherty Ferry operates in Valley Park, Missouri, offering assisted living, memory care, skilled nursing, hospice support, and respite stays. Assistance with daily routines like dressing, bathing, and managing medications is provided in assisted living, while memory care features a secured setting to ensure safety for individuals prone to wandering. The location also offers an Assisted Living Plus program along with physical rehabilitation services.
Administrator Alisa Santangelo and operator Garden View Care Center of St Louis oversee the 120-bed facility. Licensed nursing staff delivers a daily average of 7 hours and 6 minutes of direct care per resident. Accepted payment sources include Medicare, Medicaid, and private funds. The surrounding Valley Park neighborhood carries a walk score of 42, meaning local errands typically require vehicular transportation.
Prospective residents evaluating care options can connect with Garden View Care Center at Dougherty Ferry to inquire about current room availability, tour the facility, or ask specific questions regarding resident admissions.
Burrowed in Jackson County, Lee’s Summit, MO, John Knox Village is a wonderful senior living community that offers a wide array of senior living options to cater to residents’ varying needs. The community provides assisted living, skilled nursing, rehabilitation, memory care, and hospice care. Believing that each person deserves dignity, comfort and respect, the community provides its residents with a team of dedicated caregivers focused on providing compassionate care that helps them live their lives to the fullest.
The community is a spacious 120-apartment neighborhood with a wide variety of options and amenities to keep residents enjoy the life they want in the comfort of their snug and sophisticated accommodations. Residents also benefit from 24-hour nursing care, which ensures their care needs are met accordingly. Home maintenance services are also offered so residents can focus instead on lifelong learning opportunities, vibrant entertainment and wellness programs.
Life Care Center of St Louis is a nursing home offering skilled nursing care in Saint Louis, MO. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support residents working toward recovery or greater independence. The combination may be a good fit for someone who needs nursing support and rehabilitation in the same setting.
The community has 100 beds, giving families a clear sense of its overall capacity. Total nurse staffing is 3 hours 55 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several ways to cover care, including Medicaid for someone whose savings may not cover a long stay and Medicare for eligible short-term skilled care after a hospital stay.
A community re-entry program supports residents preparing to return to community living after rehabilitation. The beauty salon and barber shop provide on-site grooming services, and transportation is available for residents who need help traveling beyond the community. Katlyn Boehle serves as administrator, and C.m.c. Extended Care Center operates the community.
Westgate is a nursing home offering skilled nursing and memory care in Joplin, MO. Skilled nursing provides licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone living with dementia who may be at risk of wandering. The combination may be a good fit for a resident whose needs grow over time and who may be able to move between care levels without leaving the community.
Westgate has 120 beds and offers private and semi-private rooms, allowing a resident to live alone or share a room. Rehabilitation services are available as part of residents’ care, and dining rooms provide places for meals and family gatherings. Total nurse staffing is 3h 39m per resident per day, representing the daily hands-on nursing time allocated to each resident.
A Walk Score of 77 places the area in the very walkable band, meaning most errands can be done on foot, so a resident who no longer drives can still get out independently. Medicaid, Medicare and private pay are accepted. Misty Caldwell, RN, serves as administrator, and Westgate is operated by Joplin No 10.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Missouri
What's the difference between assisted living and a nursing home in Missouri?
Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Missouri Medicaid cover nursing home care?
Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 301 nursing homes in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Missouri?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Missouri?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Missouri at a glance
Avg Overall CMS Rating:2.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Missouri. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Missouri. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Missouri. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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